Organization
PULMONARY AND SLEEP CONSULTANTS OF KANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY HINER (ADMINISTRATOR)
(316) 440-1010
Entity
Organization
Contact information
Practice address
3009 N. CYPRESS, WICHITA, KS 67226-4003
(316) 440-1010
(316) 440-0802
Mailing address
3009 N. CYPRESS, WICHITA, KS 67226-4003
(316) 440-1010
(316) 440-0802
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
KS
207RP1001X
Pulmonary Disease Physician
Primary
—
KS
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200328110A
MEDICAID
OK
05
—
200717670A
—
KS
Enumeration date
05/04/2011
Last updated
03/01/2024
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